Organization
AMOL K GUPTA MD CORPORATION
Active
Organization
AMOL K GUPTA MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOL K GUPTA M.D. (OWNER)
(386) 673-0075
Entity
Organization
Contact information
Practice address
345 CLYDE MORRIS BLVD, STE 390, ORMOND BEACH, FL 32174-3111
(386) 673-0075
(386) 673-0049
Mailing address
345 CLYDE MORRIS BLVD, STE 390, ORMOND BEACH, FL 32174-3111
(386) 673-0075
(386) 673-0049
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME97749
FL
Other
Enumeration date
01/04/2008
Last updated
03/03/2008
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